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LONG ISLAND LUNG SURGERY, P.C.

Company Details

Name: LONG ISLAND LUNG SURGERY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Nov 2020 (4 years ago) (Companies founded in November 2020)
Entity Number: 5873196
ZIP code: 11545 (Companies in Nassau, 11545)
County: Nassau
Place of Formation: New York
Address: 1 ROSE STREET, GLEN HEAD, NY, United States, 11545

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LONG ISLAND LUNG SURGERY P.C. DEFINED BENEFIT PENSION PLAN 2023 853877319 2024-09-14 LONG ISLAND LUNG SURGERY P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9177153192
Plan sponsor’s address 12 CHARLES WAY, GLEN HEAD, NY, 11545

Signature of

Role Plan administrator
Date 2024-09-14
Name of individual signing MARK GENOVESI
Valid signature Filed with authorized/valid electronic signature
LONG ISLAND LUNG SURGERY P.C. 401K PROFIT SHARING PLAN 2023 853877319 2024-09-16 LONG ISLAND LUNG SURGERY P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9177153192
Plan sponsor’s address 12 CHARLES WAY, GLEN HEAD, NY, 11545

Signature of

Role Plan administrator
Date 2024-09-16
Name of individual signing MARK GENOVESI
Valid signature Filed with authorized/valid electronic signature
LONG ISLAND LUNG SURGERY P.C. DEFINED BENEFIT PENSION PLAN 2022 853877319 2023-09-21 LONG ISLAND LUNG SURGERY P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9177153192
Plan sponsor’s address 12 CHARLES WAY, GLEN HEAD, NY, 11545

Signature of

Role Plan administrator
Date 2023-09-21
Name of individual signing MARK GENOVESI
Role Employer/plan sponsor
Date 2023-09-21
Name of individual signing MARK GENOVESI
LONG ISLAND LUNG SURGERY P.C. 401K PROFIT SHARING PLAN 2022 853877319 2023-09-06 LONG ISLAND LUNG SURGERY P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9177153192
Plan sponsor’s address 12 CHARLES WAY, GLEN HEAD, NY, 11545

Signature of

Role Plan administrator
Date 2023-09-06
Name of individual signing MARK GENOVESI
LONG ISLAND LUNG SURGERY P.C. DEFINED BENEFIT PENSION PLAN 2021 853877319 2022-09-17 LONG ISLAND LUNG SURGERY P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9177153192
Plan sponsor’s address 12 CHARLES WAY, GLEN HEAD, NY, 11545

Signature of

Role Plan administrator
Date 2022-09-17
Name of individual signing MARK GENOVESI
LONG ISLAND LUNG SURGERY P.C. 401K PROFIT SHARING PLAN 2021 853877319 2022-09-17 LONG ISLAND LUNG SURGERY P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9177153192
Plan sponsor’s address 12 CHARLES WAY, GLEN HEAD, NY, 11545

Signature of

Role Plan administrator
Date 2022-09-17
Name of individual signing MARK GENOVESI

DOS Process Agent

Name Role Address
ANTHONY GENOVESI, ESQ. DOS Process Agent 1 ROSE STREET, GLEN HEAD, NY, United States, 11545

Filings

Filing Number Date Filed Type Effective Date
201106000007 2020-11-06 CERTIFICATE OF INCORPORATION 2020-11-06

Date of last update: 21 Nov 2024

Sources: New York Secretary of State